| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.110(c) | Family Living Provider #1, Family Member #2, Family Member #3, Family Member #4, and Family Member #5 were not trained in fire safety prior to Individual #1 living in the home on 3/1/19. | Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a). | ---All family members and individual #1 completed fire safety training and signed training form on 5/27/19, when services converted from Respite to Lifesharing per the ISP.
---Annual training dates were added to a tracker to assure future compliance. Life sharing coordinator will review tracker monthly for compliance. [Immediately and upon hire, the CEO or designated management staff person shall train the Life sharing coordinator/family living program specialist on the requirements of initial fire safety training to ensure family members and individuals, including children, are trained within 31 calendar days of an individual living in the home, as required. Documentation of the training shall be kept. (DPOC by AES,HSLS on 6/12/19)] |
05/27/2019
| Implemented |
| 6500.121(c)(3) | Individual #1's physical examination completed 2/27/19, read "immunizations not provided" in the immunization section. | Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | ---- Guardian of Individual was contacted to obtain current records from doctor¿s office. Guardian is working on contacting pediatrician to obtain childhood vaccinations. Individual received an updated TDAP shot on 05/30/2019.
----Medical forms were given to guardian to assure all appointments, information, medications and changes are documented. Life sharing coordinator will meet with [Individual #1] monthly to review any changes and needs. [Immediately and upon hire, the CEO or designee shall educated the person responsible for reviewing individuals' physical examinations of the requirement of individual physical examinations to ensure all required information is included there are not any required areas left blank. Documentation of the training shall be kept. Immediately and upon completion, a designated trained staff person shall audit all individuals' current physical examination to ensure all required information is included and health services are arranged and provided. (DPOC by AES,HSLS on 6/12/19)] |
06/30/2019
| Implemented |
| 6500.125(a) | Life Sharing Provider #1's physical examination was completed 2/21/18. Individual #1 began living in the home on 3/1/19. | Family members and persons living in the home shall have a physical examination within 12 months prior to the individual living in the home. | Updated physical was completed for Lifesharing Provider #1 on 5/22/19. Provider was added to annual tracker. Life sharing coordinator will review tracker monthly. [As per Regional Director, family living providers are now being required by the agency to have an annual physical examination to ensure timely completion of physical examination prior to individuals living in the home. Immediately and upon hire, the CEO or designated management staff person shall train the Life sharing coordinator/family living program specialist on the requirements on family members and persons living in the homes' physical examination and the agency's procedures to ensure Family members and persons living in the home shall have a physical examination within 12 months prior to the individual living in the home. Documentation of the training shall be kept. (DPOC by AES,HSLS on 6/12/19)] |
05/31/2019
| Implemented |
| 6500.134(c) | A list of prescription medications, the prescribed dosage and the name of the prescribing physician was not kept for Individual #1 who is currently self-administers medications. | A list of prescription medications, the prescribed dosage and the name of the prescribing physician shall be kept for each individual who self-administers medication. | Medication list with dosages and the name of the prescribing physician was created. This will be reviewed and updated monthly by the lifesharing coordinator during site visits. [Documentation of the aforementioned monthly reviews and updates shall be kept. (DPOC by AES,HSLS on 6/12/19)] |
05/31/2019
| Implemented |
| 6500.191(b)(1) | Individual #1 began an emergency placement in the home on 3/1/19. An assessment has not been completed for
Individual #1. | If an emergency placement occurs, the following sections shall be met within 31 calendar days after the individual is living in the home: Section 6500.111 (relating to assessment). | ---Assessment was completed 4/11/2019 and reviewed with individual and signed.
---Individual was added to annual and quarterly tracker. Life sharing coordinator will review annual tracker monthly for purposes of reviewing due dates for quarterly reports, physicals, assessments and TB tests. [Immediately and upon hire, the CEO or designated management staff person shall train the Life sharing coordinator/family living program specialist on the requirements of emergency placement and the requirements after 31 calendar days after the individual is living in the home as per 6500.111. Documentation of the training shall be kept. (DPOC by AES, HSLS on 6/12/19)] |
05/31/2019
| Implemented |